Provider Demographics
NPI:1649805615
Name:HEISKELL, HELEN E (NP)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:E
Last Name:HEISKELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:133 GLEN ARVEN DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-5366
Mailing Address - Country:US
Mailing Address - Phone:229-854-0207
Mailing Address - Fax:
Practice Address - Street 1:5012 BRISTOL INDUSTRIAL WAY STE 110
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-1775
Practice Address - Country:US
Practice Address - Phone:800-902-8800
Practice Address - Fax:883-517-2262
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN069637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN069637OtherREGISTERED PROFESSIONAL NURSE